MEMORIAL MEDICAL CENTER-IKARD CANCER CENTER
NPI 1497069397
Specialist in Las Cruces, NM

Q: What is Phc Las Cruces Inc.'s NPI number?

The NPI number for Phc Las Cruces Inc. is 1497069397. It was assigned to this organization in the NPPES registry on August 3, 2010. The provider is doing business as Memorial Medical Center-Ikard Cancer Center.

Q: What is Phc Las Cruces Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 03, 2010

2450 S TELSHOR BLVD, STE E, LAS CRUCES, NM 88011(575) 556-5800(575) 556-5899 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Memorial Medical Center-ikard Cancer Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL MEDICAL CENTER-IKARD CANCER CENTER (NPI 1497069397) is a healthcare organization registered as a specialist in Las Cruces, New Mexico and active in the NPI registry since August 2010. The organization lists Sarah Wellborn, Practice Management Director, as its authorized official.

NPPES Registry Identity

NPI1497069397

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePHC LAS CRUCES INC.

Location Address2450 S TELSHOR BLVD, STE ELas Cruces, NM 88011-5069

Mailing AddressPo Box 6310Las Cruces, NM 88006-6310 · (575) 556-5960 · Fax (575) 556-5959

Phone(575) 556-5800

Fax(575) 556-5899

Organization SubpartNo

Authorized OfficialSarah WellbornPractice Management Director · (575) 521-5460

Enumeration DateAugust 3, 2010

Last NPPES UpdateApril 13, 2016

✔ NPI 1497069397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2450 S TELSHOR BLVD, Las Cruces, NM 88011

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Other Names 1

Doing Business AsMemorial Medical Center-ikard Cancer Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Memorial Medical Center-ikard Cancer Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 68 clinicians reassign Medicare billing to Memorial Medical Center-Ikard Cancer Center, which bills Medicare for the services they deliver. Of these, 26 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Family Practice20

Nurse Practitioner12

Hematology/Oncology9

Radiation Oncology6

Clinical Psychologist4

Pediatric Medicine4

Urology3

Internal Medicine2

7 other specialties8

Nearest to this location (20)

See all 68

Christina Lucero, FNP-BC

Nurse Practitioner

NPI 1538638267

2407 S TELSHOR BLVD
Las Cruces, NM 88011

(575) 532-0303

✔ PECOS✔ Accepts Medicare0.1 mi

Clark Alves, MD

Family Practice

NPI 1316434855